Provider Demographics
NPI:1871936872
Name:BOCA RATON HAIR CENTER
Entity type:Organization
Organization Name:BOCA RATON HAIR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-8775
Mailing Address - Street 1:400 S DIXIE HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5518
Mailing Address - Country:US
Mailing Address - Phone:561-338-8775
Mailing Address - Fax:
Practice Address - Street 1:400 S DIXIE HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5518
Practice Address - Country:US
Practice Address - Phone:561-338-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies